Most people really hard to accept changes that suddenly appear in their life, because they are tend to stay in comfort than to take the risk to move forward. We are fear and so afraid to accept adjustments and sometimes people need a lot of times like weeks or months to accept and to adjust about these changes. That is why nurses are challenged to take good care of these people who have impaired adjustments. It is really challenging on how a person will trust you and trust your interventions especially if these people are not looking for a change or to modify their life. That is why the nurse must explain to the patient that these changes will result a more favorable outcome and will not create more problems. This is a nursing care plan sample about impaired adjustment of Mr. Dutrio, 78 years old, former City Mayor on provincial area. The patient is diagnosed with type-2 diabetes and the doctors imply to make adjustments in his nutritional diet, leading to reduce his intake of foods with high- carbohydrates and stopping him to drink alcohol. The patient is rejecting those changes and denies of having type-2 diabetes. If the patient does not make adjustments, this could lead to complications like blindness and amputation.
Assessment:
SUBJECTIVE:
The patient verbally denies his health status
OBJECTIVE:
The patient rejects medical treatment, leading to a failure to take actions
that would prevent further health problems. There patient refuses to
communicate with the nurse and rejects nursing intervention. The patient still
eats food and drink beverages that could lead to life-threatening condition.
The patient acts energetic to hide his health condition.